View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

[NCIPC] Adolescent Mental Health Journey Mapping Project 0920-1154-24HM
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Other-Consent/Assent Forms Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,098 0
   
Individuals or Households
 
   75 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,098 0 0 0 0 1,098
Annual IC Time Burden (Hours) 473 0 0 0 0 473
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 07/19/2024
SSB 07/19/2024
PIA 07/19/2024
Research Determination 07/19/2024
Screening Survey - Spanish 07/19/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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